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1205096773
MATTHEW STEPHEN ATENCIO
LONGVIEW, WA
NPI
1205096773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 8310)
Enumeration Date
2008-06-09
Last Update Date
2008-06-09
Business Address
-- MATTHEW STEPHEN ATENCIO PTA
1500 3RD AVE
LONGVIEW, WA 98632-3229
Phone number: 360-423-8800
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Mailing Address
-- MATTHEW STEPHEN ATENCIO PTA
3858 PENNSYLVANIA ST APT 55
LONGVIEW, WA 98632-5236
Phone number: 360-281-4748
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